Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
33 Cards in this Set
- Front
- Back
|
What are dugs that STIMULATE UTERINE contractions called?
|
OXYTOCICS
|
|
|
What are drugs that SUPPRESS Contractions called?
|
TOCOLYTICS
|
|
|
What are the 3 applications of OXYTOCIC drugs?
|
1. INDUCTION/AUGMENTATION of labor
2. CONTROL Postpardum BLEEDING 3. INCUCE ABORTION |
|
|
What is the ONE MAJOR use of TOCOLYTIC drugs?
|
SUPPRESS PRETERM LABOR
|
|
|
What are some TOCOLYTIC (uterine relaxants) drugs?
|
-MG. SULFATE
-BETA2-SELECTIVE ADRENERGIC AGONIST(Ritodrin} -Terbutaline{Brethine} -NIFEDIPINE(procardia, adalat, nifedical) -Indomethacin (Indocin) |
|
|
What is the treatment OF CHOICE to treat PREterm Labor?
|
MG. SULFATE IV
|
|
|
How does Mg. Sulfate work?
|
Inhibits ACETYLCHOLINE RELEASE @ UTERINE NEUROMUSCULAR JUNCTION.
|
|
|
What else is MG. SULFATE used for?
|
PREFERRED for PREVENTION of TREATMENT of SEIZURES associated with ECLAMPSIA & PRE-ECLAMPSIA
|
|
|
What should you ASSESS OFTEN if giving MG. SULFATE?
|
RESPERATIONS
|
|
|
What are some BETA2-SELECTIVE ADRENERGIC AGONIST?
|
RITODRINE
TERBUTALINE(BRETHINE) |
|
|
What are the affects of RITODRINE?
|
It affects BETA CELLS, RELAXES uterus smooth muscles therby DECREASING Frequency and Intensity of contractions.
|
|
|
What are the ADVERSE EFFECTS of RITODRINE?
|
PULMONARY EDEMA, HYPOTENSTION, HYPERGLYCEMIA, TACHYCARDIA in FETUS.
|
|
|
Which is better for the mother RITODRINE or MG. SULFATE?
|
MG. SULFATE.
RITODRINE is as effective as MG. SULFATE but poses a MUCH greater risk on the mother. |
|
|
What is TERBUTALINE(BRETHINE) used for? is it FDA approved?
|
ASTHMA but used to delay preterm labor(NOT FDA approved)
|
|
|
What is NIFEDIPINE? (procardia, adalat, nifedical) Whats it used for?
|
CALCIUM CHANNEL BLOCKER--suppress PRETERM Labor
|
|
|
What is INDOMETHICIN(INDOCIN) used for?
|
-2nd line drug for SUPPRESSING PRETERM labor.
|
|
|
When is INDOMETHICIN(INDOCIN) reserved for?
|
WOMEN UNRESPONSIVE/INTOLERENT to preferred agents.
|
|
|
What are OXYTOCIC used to do?
|
STIMULATES uterine contractions, INDUCTION/Augmentation of labor, Control of POSTpartum bleeding, INDUCTION of ABORTION.
|
|
|
What are TOCOLYTIC used for?
|
SUPPRESS CONTRACTIONS, SUPPRESS PREtem labor.
|
|
|
What are the drugs in the OXYTOCICS family?
|
OXYTOCIN(PITOCIN),ERGOT ALKALOIDS(ergonovine&methlergonovine), CARBOPROST TROMETHAMINE(HEMABATE)
|
|
|
what kind of hormone is OXYTOCIN(PITOCIN)? Where is OXYTOCIN(PITOCIN) produced?
|
POLYPEPTIDE hormone produced by the POSTERIOR PITUITARY.
|
|
|
What is OXYTOCIN(PITOCIN) used for?
|
INDUCE labor, PROMOTE UTERINE CONTRACTIONS, MILK EJECTION, WATER RETENTION(similar to ADH)
|
|
|
What women SHOULD NOT use OXYTOCIN(PITOCIN)?
|
Women who have active GENITAL HERPES, uterine rupture possibility.
|
|
|
What should you do if while taking OXYTOCIN(PITOCIN) contractions are >60sec.?
|
DISCONTINUE!!
|
|
|
What are the ADVERSE effects of taking OXYTOCIN(PITOCIN)?
|
WATER INTOXICATION d/t anti diuretic affects.
|
|
|
What are ERGOT ALKALOIDS(ergonovine&methylergonovine used for?
|
POSTPARTUM BLEEDING, MIGRAINE,AUGMENTAION of labot(NOT recommended)
|
|
|
What are teh ADVERSE effects of IV ERGOT ALKOLOIDS(ergonovine&methylergonovine)?
|
HTN d/t constiction of arterioler & veins.
|
|
|
What are ERGOT ALKALOIDS reserved for?
|
HEMORRHAGIC EMERGENCIES.
|
|
|
When in ERGONOVINE used?
|
In the presence of BOGGY uterus & VAGINAL bleeding.
|
|
|
What is the preferred agent used for controlling POSTPARTUM HEMORRHAGE?
|
CARBOPROST THROMETHAMINE(hemabate)--causes INTENSE uterine contractions
|
|
|
what are the ADVERSEeffects of CARBOPROST TROMETHAMINE(hemabate)
|
GI reactions, V&D, Fever, Vasoconstrition, Constriction of Bronchi.
|
|
|
What is DINOPROSTONE(Prepidil/Ceridil) used for?
|
Promote Cervical Ripining BEFORE INDUCTION of labor w/ Oxytocin(Pitocin).
|
|
|
What are the 3 different types of DINOPROSTONE(prepidil/Cervidil)?
|
DINOPROSTONE GEL
DINOPROSTONE VAGINAL INSERTS(cervidil) MISOPROSTOL(cytotec)-NOT APPROVED for CERVICAL RIPENING |
